Tenancy Application Form Please check and return your completed application and identification to:

MACKAY: 123 Sydney Street, Mackay QLD 4740 • E: [email protected] • P: 07 4898 1909 TOWNSVILLE: 103 Boundary Street, Railway Estate QLD 4810 • E: [email protected] • P: 07 4750 4000

APPLICANTS NAME/S

1. _____________________________________ 2. _______________________________________ 3. _____________________________________ 4. _______________________________________ PROPERTY DETAILS Property address: ___________________________________________________________________________________________ Requested commencement date of tenancy: ____________________________________________________________________ Requested lease term (circle):

6 months

Other: _________________________________________

12 Months

Rent amount per week: $

TENANCY APPLICATION CHECKLIST Tenancy application fully completed and signed All occupants over the age of 18 must fill out an application form whether a lease holder or approved applicant 100 Point Identification Check - The following identification has been photocopied and is attached to this

100 POINT IDENTIFICATION CHECK PLEASE NOTE: 2 current income advices and a minimum of 1 form of photo ID must be provided. Please provide a minimum of 100 points per applicant.

Form of Identification

Points

Passport

40

Driver’s Licence

40

Rates Notice

40

Current Wage Advice (Min of 2)

30

Bank Statement

30

Other Photo ID

20

Tenant Ledger

20

Telephone Account

20

Gas Account

20

Electricity Account

20

Tenant 1

Tenant 2

Tenant 3

Tenant 4

Affordability: Your rent affordability is calculated by taking your net weekly wage x 30%. e.g. $1,000 net per week x 30% = $300 - this is how much rent per week you can afford.

APPLICANT 1 PERSONAL DETAILS

CURRENT EMPLOYMENT

Given Name/s: ____________________________________________

Occupation: ______________________________________________

Surname: _________________________________________________

Current Employer: _________________________________________

Current Address: __________________________________________

Address: _________________________________________________

_________________________________________________________

Contact Name: ____________________________________________

Mobile: ___________________________________________________

Contact Number: __________________________________________

Email: ____________________________________________________

Email: ____________________________________________________

Date of Birth: _____________________________________________

Length of Employment:_____________________________________

Driver’s Licence (State and No.): _____________________________

Net Weekly Income: $ ______________________________________

Passport (Country and No.): _________________________________



- SELF EMPLOYED (See Below) -

Company Name: __________________________________________

CURRENT ADDRESS

Business Type: ____________________________________________

Property Address: _________________________________________

Address: _________________________________________________

Length of Occupancy: ______________________________________

ABN: ____________________________________________________

Circle:

Accountant Name: _________________________________________

Property Owner OR

Rental/Tenant

Rent/Mortgage Payments: __________________________________ Name of Landlord/Agency: _________________________________ Contact Details: ___________________________________________ Email: ____________________________________________________ Reason for Leaving: ________________________________________

_________________________________________________________

Property Address: _________________________________________ Length of Occupancy: ______________________________________ Property Owner OR

NOTE: Required if current employment is less than 6 mths Occupation: ______________________________________________ Previous Employer: ________________________________________ Address: _________________________________________________ Contact Name: ____________________________________________ Contact Number: __________________________________________

PREVIOUS ADDRESS

Circle:

PREVIOUS EMPLOYMENT

Length of Employment: ____________________________________ Net Weekly Income: $ ______________________________________

STUDENT INFORMATION

Rental/Tenant

Rent/Mortgage Payments: __________________________________

Place of Study: ____________________________________________

Name of Landlord/Agency: _________________________________

Course Name: _____________________________________________

Contact Details: ___________________________________________

Course Length: ____________________________________________

Email: ____________________________________________________

Enrolment/Student Number: ________________________________

Reason for Leaving: ________________________________________

Campus Contact: __________________________________________

_________________________________________________________

Contact’s Number: _________________________________________

REFEREES

NEXT OF KIN (Whom does not reside with you)

Business Referee: __________________________________________

Given Name/s: ____________________________________________

Relationship: ______________________________________________

Surname: _________________________________________________

Contact No.: ______________________________________________

Relationship: ______________________________________________

Personal Referee: __________________________________________

Address: _________________________________________________

Relationship: ______________________________________________

Mobile: ___________________________________________________

Contact No.: ______________________________________________

Email: ____________________________________________________

QUESTIONS Have any of your previous tenancies been terminated? YES / NO Are you in debt to another lessor or agent? YES / NO Is there any existing reason that may affect your rent payment? YES / NO

If yes, explain: _____________________________________

_______________________________________________________________________________________________________________________

APPLICANT 2 PERSONAL DETAILS

CURRENT EMPLOYMENT

Given Name/s: ____________________________________________

Occupation: ______________________________________________

Surname: _________________________________________________

Current Employer: _________________________________________

Current Address: __________________________________________

Address: _________________________________________________

_________________________________________________________

Contact Name: ____________________________________________

Mobile: ___________________________________________________

Contact Number: __________________________________________

Email: ____________________________________________________

Email: ____________________________________________________

Date of Birth: _____________________________________________

Length of Employment:_____________________________________

Driver’s Licence (State and No.): _____________________________

Net Weekly Income: $ ______________________________________

Passport (Country and No.): _________________________________



- SELF EMPLOYED (See Below) -

Company Name: __________________________________________

CURRENT ADDRESS

Business Type: ____________________________________________

Property Address: _________________________________________

Address: _________________________________________________

Length of Occupancy: ______________________________________

ABN: ____________________________________________________

Circle:

Accountant Name: _________________________________________

Property Owner OR

Rental/Tenant

Rent/Mortgage Payments: __________________________________ Name of Landlord/Agency: _________________________________ Contact Details: ___________________________________________ Email: ____________________________________________________ Reason for Leaving: ________________________________________

_________________________________________________________

Property Address: _________________________________________ Length of Occupancy: ______________________________________ Property Owner OR

NOTE: Required if current employment is less than 6 mths Occupation: ______________________________________________ Previous Employer: ________________________________________ Address: _________________________________________________ Contact Name: ____________________________________________ Contact Number: __________________________________________

PREVIOUS ADDRESS

Circle:

PREVIOUS EMPLOYMENT

Length of Employment: ____________________________________ Net Weekly Income: $ ______________________________________

STUDENT INFORMATION

Rental/Tenant

Rent/Mortgage Payments: __________________________________

Place of Study: ____________________________________________

Name of Landlord/Agency: _________________________________

Course Name: _____________________________________________

Contact Details: ___________________________________________

Course Length: ____________________________________________

Email: ____________________________________________________

Enrolment/Student Number: ________________________________

Reason for Leaving: ________________________________________

Campus Contact: __________________________________________

_________________________________________________________

Contact’s Number: _________________________________________

REFEREES

NEXT OF KIN (Whom does not reside with you)

Business Referee: __________________________________________

Given Name/s: ____________________________________________

Relationship: ______________________________________________

Surname: _________________________________________________

Contact No.: ______________________________________________

Relationship: ______________________________________________

Personal Referee: __________________________________________

Address: _________________________________________________

Relationship: ______________________________________________

Mobile: ___________________________________________________

Contact No.: ______________________________________________

Email: ____________________________________________________

QUESTIONS Have any of your previous tenancies been terminated? YES / NO Are you in debt to another lessor or agent? YES / NO Is there any existing reason that may affect your rent payment? YES / NO

If yes, explain: _____________________________________

_______________________________________________________________________________________________________________________

APPLICANT 3 PERSONAL DETAILS

CURRENT EMPLOYMENT

Given Name/s: ____________________________________________

Occupation: ______________________________________________

Surname: _________________________________________________

Current Employer: _________________________________________

Current Address: __________________________________________

Address: _________________________________________________

_________________________________________________________

Contact Name: ____________________________________________

Mobile: ___________________________________________________

Contact Number: __________________________________________

Email: ____________________________________________________

Email: ____________________________________________________

Date of Birth: _____________________________________________

Length of Employment:_____________________________________

Driver’s Licence (State and No.): _____________________________

Net Weekly Income: $ ______________________________________

Passport (Country and No.): _________________________________



- SELF EMPLOYED (See Below) -

Company Name: __________________________________________

CURRENT ADDRESS

Business Type: ____________________________________________

Property Address: _________________________________________

Address: _________________________________________________

Length of Occupancy: ______________________________________

ABN: ____________________________________________________

Circle:

Accountant Name: _________________________________________

Property Owner OR

Rental/Tenant

Rent/Mortgage Payments: __________________________________ Name of Landlord/Agency: _________________________________ Contact Details: ___________________________________________ Email: ____________________________________________________ Reason for Leaving: ________________________________________

_________________________________________________________

Property Address: _________________________________________ Length of Occupancy: ______________________________________ Property Owner OR

NOTE: Required if current employment is less than 6 mths Occupation: ______________________________________________ Previous Employer: ________________________________________ Address: _________________________________________________ Contact Name: ____________________________________________ Contact Number: __________________________________________

PREVIOUS ADDRESS

Circle:

PREVIOUS EMPLOYMENT

Length of Employment: ____________________________________ Net Weekly Income: $ ______________________________________

STUDENT INFORMATION

Rental/Tenant

Rent/Mortgage Payments: __________________________________

Place of Study: ____________________________________________

Name of Landlord/Agency: _________________________________

Course Name: _____________________________________________

Contact Details: ___________________________________________

Course Length: ____________________________________________

Email: ____________________________________________________

Enrolment/Student Number: ________________________________

Reason for Leaving: ________________________________________

Campus Contact: __________________________________________

_________________________________________________________

Contact’s Number: _________________________________________

REFEREES

NEXT OF KIN (Whom does not reside with you)

Business Referee: __________________________________________

Given Name/s: ____________________________________________

Relationship: ______________________________________________

Surname: _________________________________________________

Contact No.: ______________________________________________

Relationship: ______________________________________________

Personal Referee: __________________________________________

Address: _________________________________________________

Relationship: ______________________________________________

Mobile: ___________________________________________________

Contact No.: ______________________________________________

Email: ____________________________________________________

QUESTIONS Have any of your previous tenancies been terminated? YES / NO Are you in debt to another lessor or agent? YES / NO Is there any existing reason that may affect your rent payment? YES / NO

If yes, explain: _____________________________________

_______________________________________________________________________________________________________________________

APPLICANT 4 PERSONAL DETAILS

CURRENT EMPLOYMENT

Given Name/s: ____________________________________________

Occupation: ______________________________________________

Surname: _________________________________________________

Current Employer: _________________________________________

Current Address: __________________________________________

Address: _________________________________________________

_________________________________________________________

Contact Name: ____________________________________________

Mobile: ___________________________________________________

Contact Number: __________________________________________

Email: ____________________________________________________

Email: ____________________________________________________

Date of Birth: _____________________________________________

Length of Employment:_____________________________________

Driver’s Licence (State and No.): _____________________________

Net Weekly Income: $ ______________________________________

Passport (Country and No.): _________________________________



- SELF EMPLOYED (See Below) -

Company Name: __________________________________________

CURRENT ADDRESS

Business Type: ____________________________________________

Property Address: _________________________________________

Address: _________________________________________________

Length of Occupancy: ______________________________________

ABN: ____________________________________________________

Circle:

Accountant Name: _________________________________________

Property Owner OR

Rental/Tenant

Rent/Mortgage Payments: __________________________________ Name of Landlord/Agency: _________________________________ Contact Details: ___________________________________________ Email: ____________________________________________________ Reason for Leaving: ________________________________________

_________________________________________________________

Property Address: _________________________________________ Length of Occupancy: ______________________________________ Property Owner OR

NOTE: Required if current employment is less than 6 mths Occupation: ______________________________________________ Previous Employer: ________________________________________ Address: _________________________________________________ Contact Name: ____________________________________________ Contact Number: __________________________________________

PREVIOUS ADDRESS

Circle:

PREVIOUS EMPLOYMENT

Length of Employment: ____________________________________ Net Weekly Income: $ ______________________________________

STUDENT INFORMATION

Rental/Tenant

Rent/Mortgage Payments: __________________________________

Place of Study: ____________________________________________

Name of Landlord/Agency: _________________________________

Course Name: _____________________________________________

Contact Details: ___________________________________________

Course Length: ____________________________________________

Email: ____________________________________________________

Enrolment/Student Number: ________________________________

Reason for Leaving: ________________________________________

Campus Contact: __________________________________________

_________________________________________________________

Contact’s Number: _________________________________________

REFEREES

NEXT OF KIN (Whom does not reside with you)

Business Referee: __________________________________________

Given Name/s: ____________________________________________

Relationship: ______________________________________________

Surname: _________________________________________________

Contact No.: ______________________________________________

Relationship: ______________________________________________

Personal Referee: __________________________________________

Address: _________________________________________________

Relationship: ______________________________________________

Mobile: ___________________________________________________

Contact No.: ______________________________________________

Email: ____________________________________________________

QUESTIONS Have any of your previous tenancies been terminated? YES / NO Are you in debt to another lessor or agent? YES / NO Is there any existing reason that may affect your rent payment? YES / NO

If yes, explain: _____________________________________

_______________________________________________________________________________________________________________________

FURTHER INFORMATION PETS Do you have any Pets? (Circle)

OCCUPANTS / DEPENDENTS Occupant/Dependent 1

YES / NO

Number of Pets: ___________________________________________

Name: ___________________________________________________

PET 1

Age: _____________________________________________________

Type: ____________________________________________________ Breed: ___________________________________________________

Occupant/Dependent 2

Registered with Council? (Circle)

Name: ___________________________________________________

YES / NO

Age: _____________________________________________________

PET 1 Type: ____________________________________________________ Breed: ___________________________________________________

Occupant/Dependent 3

Registered with Council? (Circle)

Name: ___________________________________________________

YES / NO

Age: _____________________________________________________

PET 1 Type: ____________________________________________________ Breed: ___________________________________________________ Registered with Council? (Circle)

YES / NO

ADDITIONAL NOTES If there is any additional information you wish to disclose please write this below.

___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________

PRIVACY DISCLOSURE STATEMENT We are an independently owned and operated business. We are bound by the National Privacy Principles. We collect personal information about you in this form to assess your application for a residential tenancy. We may need to collect information about you from your previous landlords or letting agent, your current or previous employer and your referees. Your consent to us collecting this information is set out below. We may disclose your personal information about you to the owner of the property to which this application relates. If this application is successful we may disclose your details to service providers relevant to the tenancy relationship including maintenance contractors and owner’s insurers. We may also send personal information about you to the owners of the other properties at your request. You have the right to access personal information that we hold about you by contacting our privacy officer. If you do not complete this form or do not consent below then your application for a residential tenancy may not be considered by the owner of the relevant property or, if considered, may be rejected.

CONSENT I the applicant acknowledge that I have read the Privacy Disclosure Statement. I authorise the Agent to collect information about me from: 1. My previous letting agents and/or landlords; 2. My referees; 3. Any Tenancy Default Database which may contain personal information about me. I also authorize the Agent to disclose details about any defaults by me under the tenancy to which this application relates to any tenancy default database to which it subscribes including Tenancy Information Centre of Australia (TICA), National Tenancy Database (NTD) and/or Trading Reference Australia (TRA). I authorize the Agent to disclose the personal information collected about me to the owner of the property even if the owner is resident outside Australia and to any third parties- valuers, contractors, sales people, insurance companies, bodies corporate, other agents and tenancy default databases.

DECLARATION I, the Applicant, hereby offer to rent the property from the owner under a lease to be prepared by the Agent (Explore Property). Should this application be approved, I acknowledge that I will be required to pay the following amounts: $

rent per week

Two week’s rent

To be paid prior to commencement of tenancy

Bond (equivalent to 4 x weeks rent)

To be paid within 24 hours of approval

TOTAL = 6 x weeks

I acknowledge that this application is subject to the approval of the owner. I declare that all information contained in this application is true and correct and give of my own free will. I declare that I have inspected the premises and am satisfied with the current condition and cleanliness of the property.

SIGNATURES

......................................................................... Applicant 1 Name

............................................... Signature

Date

/

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......................................................................... Applicant 2 Name

............................................... Signature

Date

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......................................................................... Applicant 3 Name

............................................... Signature

Date

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......................................................................... Applicant 4 Name

............................................... Signature

Date

/

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